CAJ | 학술논문

目的：探讨外部暴力所致急性颅脑创伤患者现场及院内抢救时间、性别、年龄及格拉斯哥昏迷评分（GCS评分）与预后的相关性。方法选取92例外部暴力所致急性颅脑创伤患者为研究对象，回顾性分析其临床资料。收集患者的性别、年龄、受伤到抢救的时间、入院时 GCS 及5个月后格拉斯哥预后评分（GOS），分析各征象及抢救时间与临床预后的相关性。结果高龄和低龄患者的预后差异有统计学意义（χ2＝5．30，P＜0．05）；GCS评分不同对预后好坏的影响有统计学意义（χ2＝11．97，P＜0．01）；伤后到抢救的时间不同亦对预后好坏产生显著性影响（χ2＝15．74，P＜0．01）。年龄、抢救时间与预后具有显著相关性（P＝0．016、0．007）。伤后抢救时间不同，其预后差异有统计学意义（χ2＝28．45，P＜0．01）。结论年龄、入院时GCS与抢救时间对患者预后情况具有重要提示意义，而伤后抢救时间越早，患者的预后情况越好。
목적：탐토외부폭력소치급성로뇌창상환자현장급원내창구시간、성별、년령급격랍사가혼미평분（GCS평분）여예후적상관성。방법선취92예외부폭력소치급성로뇌창상환자위연구대상，회고성분석기림상자료。수집환자적성별、년령、수상도창구적시간、입원시 GCS 급5개월후격랍사가예후평분（GOS），분석각정상급창구시간여림상예후적상관성。결과고령화저령환자적예후차이유통계학의의（χ2＝5．30，P＜0．05）；GCS평분불동대예후호배적영향유통계학의의（χ2＝11．97，P＜0．01）；상후도창구적시간불동역대예후호배산생현저성영향（χ2＝15．74，P＜0．01）。년령、창구시간여예후구유현저상관성（P＝0．016、0．007）。상후창구시간불동，기예후차이유통계학의의（χ2＝28．45，P＜0．01）。결론년령、입원시GCS여창구시간대환자예후정황구유중요제시의의，이상후창구시간월조，환자적예후정황월호。
Objective To explore the correlation of prognosis with emergency treatment time,gender,age and GCS score of acute traumatic brain injury patients caused by external violence.Methods 92 acute traumatic brain injury patients caused by external violence were selected.The gender,age,emergency treatment time,post-resuscita-tion GCS and GOS after 5 months were collected and analyzed.The relationship between patients′signs and emergency treatment time and prognosis were analyzed.Results The differences of prognosis between elderly patients and youn-ger patients were statistically significant(χ2 =5.30,P<0.05).The differences of prognosis in patients with different GCS scores were statistically significant(χ2 =11.97,P<0.01).The differences of prognosis in patients with different emergency treatment time were statistically significant(χ2 =15.74,P<0.01).The prognosis with age and emergency treatment time had a significant correlation(P=0.016,0.007).The prognosis of patients with different emergency treatment time had a significant difference(χ2 =28.45,P<0.01).Conclusion The age,post-resuscitation GCS and emergency treatment time are meaningful in predicating patients′mortality and prognosis.The shorter the emer-gency treatment time,the better the prognosis.